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Bill C-17

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C-17

Second Session, Forty-first Parliament,

62 Elizabeth II, 2013

HOUSE OF COMMONS OF CANADA

BILL C-17

An Act to amend the Food and Drugs Act

first reading, December 6, 2013

MINISTER OF HEALTH

90716

SUMMARY

This enactment amends the Food and Drugs Act regarding therapeutic products in order to improve safety by introducing measures to, among other things,

(a) strengthen safety oversight of therapeutic products throughout their life cycle; and

(b) improve reporting by certain health care institutions of serious adverse drug reactions and medical device incidents that involve therapeutic products.

Available on the Parliament of Canada Web Site at the following address:
http://www.parl.gc.ca

2nd Session, 41st Parliament,

62 Elizabeth II, 2013

house of commons of canada

BILL C-17

An Act to amend the Food and Drugs Act

Whereas the safety of drugs and medical devices is a key concern for Canadians;

And whereas new measures are required to further protect Canadians from the risks related to drugs and medical devices, other than natural health products;

Now, therefore, Her Majesty, by and with the advice and consent of the Senate and House of Commons of Canada, enacts as follows:

ALTERNATIVE TITLE

Alternative title

1. This Act may be cited as the Protecting Canadians from Unsafe Drugs Act (Vanessa’s Law).

R.S., c. F-27

FOOD AND DRUGS ACT

1993, c. 34, s. 71(3)

2. (1) The definition “device” in section 2 of the Food and Drugs Act is replaced by the following:

“device”
« instrument »

“device” means an instrument, apparatus, contrivance or other similar article, or an in vitro reagent, including a component, part or accessory of any of them, that is manufactured, sold or represented for use in

(a) diagnosing, treating, mitigating or preventing a disease, disorder or abnormal physical state, or any of their symptoms, in human beings or animals,

(b) restoring, modifying or correcting the body structure of human beings or animals or the functioning of any part of the bodies of human beings or animals,

(d) caring for human beings or animals during pregnancy or at or after the birth of the offspring, including caring for the offspring, or

(e) preventing conception in human beings or animals;

however, it does not include such an instrument, apparatus, contrivance or article, or a component, part or accessory of any of them, that does any of the actions referred to in paragraphs (a) to (e) solely by pharmacological, immunological or metabolic means or solely by chemical means in or on the body of a human being or animal;

(2) The definition “étiquette” in section 2 of the French version of the Act is replaced by the following:

« étiquette »
“label”

« étiquette » Sont assimilés aux étiquettes les inscriptions, mots ou marques accompagnant les aliments, drogues, cosmétiques, instruments ou emballages ou s’y rapportant.

(3) Section 2 of the Act is amended by adding the following in alphabetical order:

“therapeutic product”
« produit thérapeutique »

“therapeutic product” means a drug or device or any combination of drugs and devices, but does not include a natural health product within the meaning of the Natural Health Products Regulations;

“therapeutic product authorization”
« autorisation relative à un produit thérapeutique »

“therapeutic product authorization” means an authorization — including a licence and a suspended authorization or licence — that is issued under the regulations and that authorizes, as the case may be, the import, sale, advertisement, manufacture, preparation, preservation, packaging, labelling, storage or testing of a therapeutic product;

3. The Act is amended by adding the following after section 21:

Therapeutic Products

Power to require information — serious risk

21.1 If the Minister believes that a therapeutic product may present a serious risk of injury to human health, the Minister may order a person to provide the Minister with information that is in the person’s control and that the Minister believes is necessary to determine whether the product presents such a risk.

Modification or replacement — labelling or packaging

21.2 The Minister may, if he or she believes that doing so is necessary to prevent injury to health, order the holder of a therapeutic product authorization that authorizes the import or sale of a therapeutic product to modify the product’s label or to modify or replace its package.

Minister’s powers — risk of injury to health

21.3 (1) If the Minister believes that a therapeutic product presents a serious or imminent risk of injury to health, he or she may order a person who sells the product to

(a) recall the product; or

(b) send the product, or cause it to be sent, to a place specified in the order.

Recall order — corrective action

(2) For greater certainty, if the Minister makes an order under paragraph (1)(a) and believes that corrective action is an effective means of dealing with the risk, the order may require the person who sells the product to, instead of requesting the product’s return, request the product’s owner or user to allow corrective action to be taken in respect of the product and then take that corrective action, or cause it to be taken, if the request is accepted.

Prohibition — selling

(3) Subject to subsection (5), no person shall sell a therapeutic product that the Minister orders them, or another person, to recall.

Power to authorize sale

(4) The Minister may authorize a person to sell a therapeutic product, with or without conditions, even if the Minister has ordered them, or another person, to recall it.

Exception

(5) A person does not contravene subsection (3) if they sell a therapeutic product that they have been authorized under subsection (4) to sell, provided that they sell it in accordance with any conditions that the Minister establishes.

Contravention of unpublished order

(6) No person shall be convicted of an offence for the contravention of subsection (3) unless it is proved that, at the time of the alleged contravention, the person had been notified of the recall order or reasonable steps had been taken to bring the purport of the recall order to the notice of those persons likely to be affected by it.

Statutory Instruments Act

21.4 For greater certainty, orders made under any of sections 21.1 to 21.3 are not statutory instruments within the meaning of the Statutory Instruments Act.

Injunction

21.5 (1) If, on the application of the Minister, it appears to a court of competent jurisdiction that a person has done, is about to do or is likely to do anything that constitutes or is directed toward the commission of an offence under this Act in respect of a therapeutic product, the court may issue an injunction ordering the person, who is to be named in the application, to

(a) refrain from doing anything that it appears to the court may constitute or be directed toward the commission of the offence; or

(b) do anything that it appears to the court may prevent the commission of the offence.

Notice

(2) No injunction is to be issued under subsection (1) unless 48 hours’ notice is served on the party or parties who are named in the application or unless the urgency of the situation is such that service of notice would not be in the public interest.

False or misleading information — therapeutic products

21.6 No person shall knowingly make a false or misleading statement to the Minister — or knowingly provide him or her with false or misleading information — in connection with any matter under this Act concerning a therapeutic product.

Terms and conditions of authorizations

21.7 The holder of a therapeutic product authorization shall comply with the terms and conditions of the authorization that are imposed under regulations made under paragraph 30(1.2)(b).

4. Section 21.4 of the Act is replaced by the following:

Power to require assessment

21.31 Subject to the regulations, the Minister may order the holder of a therapeutic product authorization to conduct an assessment of the therapeutic product to which the authorization relates and provide the Minister with the results of the assessment.

Power to require tests, studies, etc.

21.32 Subject to the regulations, the Minister may, for the purpose of obtaining additional information about a therapeutic product’s effects on health or safety, order the holder of a therapeutic product authorization to

(a) compile information, conduct tests or studies or monitor experience in respect of the therapeutic product; and

(b) provide the Minister with the information or the results of the tests, studies or monitoring.

Statutory Instruments Act

21.4 For greater certainty, orders made under any of sections 21.1 to 21.32 are not statutory instruments within the meaning of the Statutory Instruments Act.

5. The Act is amended by adding the following after section 21.7:

Health care institutions to provide information

21.8 A prescribed health care institution shall provide the Minister, within the prescribed time and in the prescribed manner, with prescribed information that is in its control about a serious adverse drug reaction that involves a therapeutic product or a medical device incident that involves a therapeutic product.

6. (1) Section 30 of the Act is amended by adding the following after subsection (1.1):

Regulations — therapeutic products

(1.2) Without limiting the power conferred by any other subsection of this section, the Governor in Council may make regulations

(a) respecting the issuance of authorizations — including licences — that authorize, as the case may be, the import, sale, advertisement, manufacture, preparation, preservation, packaging, labelling, storage or testing of a therapeutic product, and the amendment, suspension and revocation of such authorizations;

(b) authorizing the Minister to impose terms and conditions on authorizations referred to in paragraph (a), including existing authorizations, and to amend those terms and conditions;

(c) requiring holders of a therapeutic product authorization that authorizes the import or sale of a therapeutic product for a clinical trial or investigational test involving human subjects, or former holders of such an authorization, to provide the Minister, after the trial or test is completed or discontinued, or, if the authorization is suspended or revoked, after the suspension or revocation, with safety information that the holders or former holders receive or become aware of about the therapeutic product;

(d) requiring holders of a therapeutic product authorization to provide the Minister with information, in respect of any serious risk of injury to human health, that the holders receive or become aware of and that is relevant to the safety of the therapeutic product to which the authorization relates, regarding

(i) risks that have been communicated outside Canada, and the manner of the communication,

(ii) changes that have taken place to labelling outside Canada, and

(iii) recalls, reassessments and suspensions or revocations of authorizations, including licences, in respect of a therapeutic product, that have taken place outside Canada;

(e) respecting modifications of labels and modifications and replacements of packages referred to in section 21.2; and

(f) respecting the recall of a therapeutic product or the sale of a therapeutic product that is the subject of a recall.

(2) Subsection 30(1.2) of the Act is amended by striking out “and” at the end of paragraph (e) and by adding the following after paragraph (f):

(g) respecting assessments referred to in section 21.31, and the provision of the results of the assessments to the Minister; and

(h) respecting the compilation of information, the conducting of tests and studies and the monitoring of experience that are referred to in paragraph 21.32(a), and the provision to the Minister of the information or results referred to in paragraph 21.32(b).

(3) Subsection 30(1.2) of the Act is amended by striking out “and” at the end of paragraph (e) and by adding the following after paragraph (f):

(g) defining “serious adverse drug reaction” and “medical device incident” for the purposes of this Act;

(h) respecting the provision by health care institutions referred to in section 21.8 to the Minister of information referred to in that section; and

(i) prescribing anything that is to be prescribed under section 21.8.

(4) Section 30 of the Act is amended by adding the following after subsection (1.2):

Consideration of existing information management systems

(1.3) Before recommending to the Governor in Council that a regulation be made under paragraph (1.2)(h) or (i), the Minister shall take into account existing information management systems, with a view to not recommending the making of regulations that would impose unnecessary administrative burdens.

(5) The portion of subsection 30(2) of the Act before paragraph (a) is replaced by the following:

Regulations respecting drugs manufactured outside Canada

(2) Without limiting the power conferred by any other subsection of this section, the Governor in Council may make such regulations governing, regulating or prohibiting

1994, c. 47, s. 117

(6) Subsection 30(3) of the Act is replaced by the following:

Regulations — North American Free Trade Agreement and WTO Agreement

(3) Without limiting the power conferred by any other subsection of this section, the Governor in Council may make any regulations that the Governor in Council considers necessary for the purpose of implementing, in relation to drugs, Article 1711 of the North American Free Trade Agreement or paragraph 3 of Article 39 of the Agreement on Trade-related Aspects of Intellectual Property Rights set out in Annex 1C to the WTO Agreement.

2004, c. 23, s. 2

(7) Subsection 30(5) of the Act is replaced by the following:

Regulations to implement General Council Decision

(5) Without limiting the power conferred by any other subsection of this section, the Governor in Council may make any regulations that the Governor in Council considers necessary for the purpose of implementing the General Council Decision.

2012, c. 19, s. 416

7. Subsection 30.5(1) of the Act is replaced by the following:

Incorporation by reference

30.5 (1) A regulation made under this Act with respect to a food or therapeutic product and a marketing authorization may incorporate by reference any document, regardless of its source, either as it exists on a particular date or as it is amended from time to time.

1997, c. 6, s. 91

8. The portion of section 31 of the Act before paragraph (a) is replaced by the following:

Contravention of Act or regulations

31. Subject to sections 31.1, 31.2 and 31.4, every person who contravenes any of the provisions of this Act or of the regulations is guilty of an offence and liable

9. The Act is amended by adding the following after section 31.1:

Offences relating to therapeutic products

31.2 Subject to section 31.4, every person who contravenes any provision of this Act or the regulations, as it relates to a therapeutic product, or an order made under any of sections 21.1 to 21.3 is guilty of an offence and liable

(a) on conviction by indictment, to a fine not exceeding $5,000,000 or to imprisonment for a term not exceeding two years or to both; and

(b) on summary conviction, for a first offence, to a fine not exceeding $250,000 or to imprisonment for a term not exceeding six months or to both and, for a subsequent offence, to a fine not exceeding $500,000 or to imprisonment for a term not exceeding 18 months or to both.

Due diligence

31.3 Due diligence is a defence in a prosecution for an offence under this Act, other than an offence under section 31.4.

Offences — section 21.6 and serious risk

31.4 A person who contravenes section 21.6, or who knowingly or recklessly causes a serious risk of injury to human health in contravening another provision of this Act or the regulations, as it relates to a therapeutic product, or an order made under any of sections 21.1 to 21.3 is guilty of an offence and liable

(a) on conviction on indictment, to a fine the amount of which is at the discretion of the court or to imprisonment for a term not exceeding five years or to both; and

(b) on summary conviction, for a first offence, to a fine not exceeding $500,000 or to imprisonment for a term not exceeding 18 months or to both and, for a subsequent offence, to a fine not exceeding $1,000,000 or to imprisonment for a term not exceeding two years or to both.

Sentencing considerations

31.5 A court that imposes a sentence for an offence under section 31.2 or 31.4 shall take into account, in addition to any other principles that it is required to consider, the following factors:

(a) the harm or risk of harm caused by the commission of the offence; and

(b) the vulnerability of consumers of the therapeutic product.

Parties to offence

31.6 If a person other than an individual commits an offence under section 31.2, or commits an offence under section 31.4 by reason of contravening section 21.6, then any of the person’s directors, officers or agents or mandataries who directs, authorizes, assents to or acquiesces or participates in the commission of the offence is a party to the offence and is liable on conviction to the punishment provided for by this Act, even if the person is not prosecuted for the offence.

Continuing offence

31.7 If an offence under section 31.2 or 31.4 is committed or continued on more than one day, it constitutes a separate offence for each day on which it is committed or continued.

10. The portion of section 31.2 of the Act before paragraph (a) is replaced by the following:

Offences relating to therapeutic products

11. The portion of section 31.4 of the Act before paragraph (a) is replaced by the following:

Offences — section 21.6 and serious risk

1996, c. 19, s. 78

12. Subsection 35(1) of the Act is replaced by the following:

Certificate of analyst

35. (1) Subject to this section, in any prosecution for an offence under any of sections 31 to 31.2 and 31.4, a certificate purporting to be signed by an analyst and stating that an article, sample or substance has been submitted to, and analysed or examined by, the analyst and stating the results of the analysis or examination is admissible in evidence and, in the absence of evidence to the contrary, is proof of the statements contained in the certificate without proof of the signature or official character of the person appearing to have signed it.

TRANSITIONAL PROVISION

Therapeutic product authorizations

13. The definition “therapeutic product authorization”, as enacted by subsection 2(3), applies to authorizations — including licences and suspended authorizations or licences — that were issued before the day on which this section comes into force and that authorize, as the case may be, the import, sale, advertisement, manufacture, preparation, preservation, packaging, labelling, storage or testing of a therapeutic product.

COORDINATING AMENDMENTS

Subsections 6(2) and (3)

14. (1) If subsection 6(2) comes into force before subsection 6(3), then

(a) subsection 6(3) is replaced by the following:

(3) Subsection 30(1.2) of the Act is amended by striking out “and” at the end of paragraph (g) and by adding the following after paragraph (h):

(i) defining “serious adverse drug reaction” and “medical device incident” for the purposes of this Act;

(j) respecting the provision by health care institutions referred to in section 21.8 to the Minister of information referred to in that section; and

(k) prescribing anything that is to be prescribed under section 21.8.

(b) subsection 30(1.3) of the Food and Drugs Act, as enacted by subsection 6(4), is replaced by the following:

Consideration of existing information management systems

(1.3) Before recommending to the Governor in Council that a regulation be made under paragraph (1.2)(j) or (k), the Minister shall take into account existing information management systems, with a view to not recommending the making of regulations that would impose unnecessary administrative burdens.

(2) If subsection 6(3) comes into force before subsection 6(2), then subsection 6(2) is replaced by the following:

(2) Subsection 30(1.2) of the Act is amended by adding the following after paragraph (f):

(f.1) respecting assessments referred to in section 21.31, and the provision of the results of the assessments to the Minister;

(f.2) respecting the compilation of information, the conducting of tests and studies and the monitoring of experience that are referred to in paragraph 21.32(a), and the provision to the Minister of the information or results referred to in paragraph 21.32(b);

(3) If subsections 6(2) and (3) come into force on the same day, then subsection 6(2) is deemed to have come into force before subsection 6(3) and subsection (1) applies as a consequence.

COMING INTO FORCE

Order in council

15. (1) Section 4, subsection 6(2) and sections 10 and 11 come into force on a day to be fixed by order of the Governor in Council.

Order in council

(2) Section 5 and subsections 6(3) and (4) come into force on a day to be fixed by order of the Governor in Council.

Published under authority of the Speaker of the House of Commons

Explanatory Notes

Clause 2: (1) Existing text of the definition:

“device” means any article, instrument, apparatus or contrivance, including any component, part or accessory thereof, manufactured, sold or represented for use in

(a) the diagnosis, treatment, mitigation or prevention of a disease, disorder or abnormal physical state, or its symptoms, in human beings or animals,

(b) restoring, correcting or modifying a body function or the body structure of human beings or animals,

(d) the care of human beings or animals during pregnancy and at and after birth of the offspring, including care of the offspring,

and includes a contraceptive device but does not include a drug;

(2) Existing text of the definition:

“label” includes any legend, word or mark attached to, included in, belonging to or accompanying any food, drug, cosmetic, device or package;

(3) New.

Clause 3: New.

Clause 4: New.

Clause 5: New.

Clause 6: (1) New.

(2) New.

(3) New.

(4) New.

(5) Relevant portion of subsection 30(2):

(2) Without limiting or restricting the authority conferred by any other provisions of this Act or any Part thereof for carrying into effect the purposes and provisions of this Act or any Part thereof, the Governor in Council may make such regulations governing, regulating or prohibiting

(6) Existing text of subsection 30(3):

(3) Without limiting or restricting the authority conferred by any other provisions of this Act or any Part thereof for carrying into effect the purposes and provisions of this Act or any Part thereof, the Governor in Council may make such regulations as the Governor in Council deems necessary for the purpose of implementing, in relation to drugs, Article 1711 of the North American Free Trade Agreement or paragraph 3 of Article 39 of the Agreement on Trade-related Aspects of Intellectual Property Rights set out in Annex 1C to the WTO Agreement.

(7) Existing text of subsection 30(5):

(5) Without limiting or restricting the authority conferred by any other provisions of this Act or any of its Parts for carrying into effect the purposes and provisions of this Act or any of its Parts, the Governor in Council may make any regulations that the Governor in Council considers necessary for the purpose of implementing the General Council Decision.

Clause 7: Existing text of subsection 30.5(1):

30.5 (1) A regulation made under this Act with respect to a food and a marketing authorization may incorporate by reference any document, regardless of its source, either as it exists on a particular date or as it is amended from time to time.

Clause 8: Relevant portion of section 31:

31. Subject to section 31.1, every person who contravenes any of the provisions of this Act or of the regulations made under this Part is guilty of an offence and liable

Clause 9: New.

Clause 10: New.

Clause 11: New.

Clause 12: Existing text of subsection 35(1):

35. (1) Subject to this section, in any prosecution for an offence under section 31, a certificate purporting to be signed by an analyst and stating that an article, sample or substance has been submitted to, and analysed or examined by, the analyst and stating the results of the analysis or examination is admissible in evidence and, in the absence of evidence to the contrary, is proof of the statements contained in the certificate without proof of the signature or official character of the person appearing to have signed it.

Table of Contents

Cover

Summary